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General NPI Number Information
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NPI Number | 1598918542
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Entity Type | Individual
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Provider Name | SARAH HALFACRE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 4501 LOUISE UNDERWOOD WAY
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City | LOUISVILLE
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State | KY
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Zip | 40216-3987
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Country | US
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Telephone | 502-368-2348
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 LOUISE UNDERWOOD WAY
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City | LOUISVILLE
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State | KY
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Zip | 40216-3987
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Country | US
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Telephone | 502-368-2348
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | KY-R4070
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | KY-R4070
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 131967
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License Number State | KY
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